纤维宫腔镜直视下输卵管插管诊断和治疗输卵管梗阻
纤维,,纤维宫腔镜；输卵管梗阻；输卵管插管通液；输卵管疏通术,1资料与方法,2结果,3讨论
【摘要】 目的：评价纤维宫腔镜直视下输卵管插管诊断和治疗输卵管梗阻的临床治疗效果。方法：选择经输卵管通液、碘油造影诊断为输卵管因素不孕的患者135例，对其进行纤维宫腔镜直视下输卵管插管通液，确诊是否有输卵管梗阻；对真性梗阻的输卵管在宫腔镜下直接行导丝疏通术，比较插管通液前后以及插管疏通术治疗前后输卵管的通畅情况。结果：135例不孕症患者261条输卵管，经插管确诊梗阻输卵管57条，治疗成功率为733%。结论：纤维宫腔镜直视下输卵管插管通液及疏通术，是诊断和治疗输卵管梗阻的一种安全、有效、简便的方法。【关键词】纤维宫腔镜；输卵管梗阻；输卵管插管通液；输卵管疏通术
The diagnosis and therapy to oviduct obstruction by tube insertion under fiberhysteroscope
ZHENG Dongmei,HE Caijun,MAO Dongwei,et al.
211 Hospital of PLA,Harbin 150086,China
【Abstract】Objective:To evaluate the diagnosis to oviduct obstruction and the therapeutic efficacy of the tube insertion under fiberhysteroscope.Methods:135 infertile women were chosen.Their infertility were related to fallopian tube and diagnosed by hydrotubation and hysterosalpingography.They all accepted tube insertion into fallopian tube under fiberhysteroscope in order to make a definite diagnosis of the obstruction. A guiden wire was inserted into the obstructed oviduct to dredge it under the fiberhysteroscope,then comparing the smoothy degree of the oviduct beforeand after treatment.Results:There were 261 oviducts in the 135 infertile women and 57 of them were obstructed.The successful rate of tube insertion is 73.3% in the 57 obstructed oviducts.Conclusions:The method of the tube insertion under fiberhysteroscope is safe,valid and convenient to diagnosis and therapy of oviduct obstruction. ......
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